SearchSouth Carolina164W00000X

Jeremy Manuel

NPI 1710542782 · on the registry since 2019 · sole proprietor

Practice

Address
2470 Mall Dr Ste C
North Charleston, SC 29406
Phone
(843) 207-4721
Organisation at this address
Crossroads Treatment Center Of Charleston, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina